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We evaluated all revisions performed from March 1996 to December 2008 and compared complications, mortality, and clinical outcomes between patients 80 years and older and patients younger than 80 years. Data were collected prospectively. There were 325 revisions, 84 (25.8%) in patients 80 years and older and 241 in patients younger than 80 years (62% revision for aseptic loosening in both groups). The mean follow-up was 4.3 years. The results, 80 years and older vs younger than 80 years, revealed the following: mortality, 5% vs 0% 3 months postoperatively; medical complications in 23.8% vs 6.2%; postoperative fractures, 9.5% vs 2.5%; and improved Merle d'Aubigné scores from 9.6 to 13.0 vs 10.4 to 14.3. Revision total hip arthroplasty in patients 80 years and older was associated with substantial clinical improvement and patient satisfaction. However, medical complications and 90-day mortality were higher, and postoperative fractures occurred more frequently.

Original publication

DOI

10.1016/j.arth.2011.11.023

Type

Journal article

Journal

The Journal of arthroplasty

Publication Date

06/2012

Volume

27

Pages

1041 - 1046

Addresses

Division of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Geneva, Switzerland.

Keywords

Humans, Postoperative Complications, Prosthesis Failure, Treatment Outcome, Arthroplasty, Replacement, Hip, Reoperation, Prevalence, Survival Rate, Retrospective Studies, Cohort Studies, Follow-Up Studies, Prospective Studies, Hip Prosthesis, Age Factors, Aged, Aged, 80 and over, Middle Aged, Patient Satisfaction, Female, Male, Periprosthetic Fractures